POW! HIT! People & Organizations improving Workflow w/Health Info Tech
POW! HIT! People & Organizations improving Workflow w/Health Info Tech

@EHRworkflow Blog

The is a "sidekick" blog to my main blog EHR Workflow Management Systems at ChuckWebster.com. There I publish long, complicated, thoughtful blogs thousands of words in length. Here? Not so much. It's mostly for snippets of content too big for a tweet but too small to grace the main deck of the mothership.

If you're looking for my POW! HIT! Profiles, they're here (explanation and most recent) and here (alphabetical index). POW! HIT! stands for People and Organizations improving Workflow in Healthcare with Information Technology (or Ideas and Technology, depending on context). However, I'll write or post content relevant to POW! HIT! on this and the mother blog. Thanks for stopping by. Please leave a comment!

Chuck Webster MD MSIE MSIS

With degrees in Accountancy, Industrial Engineering, Computational Linguistics, Artificial Intelligence, and Medicine, Dr. Webster can see around corners. He designed the first undergraduate program in Medical Informatics, was CMIO for an EHR vendor, and wrote the first three winning applications for the HIMSS Davies Award for EHR Ambulatory Excellence. Chuck opines about healthcare workflow and related and unrelated topics from @wareFLO (#HIMSS13 Top Tweeter) and DMV: the District, Maryland, and Virginia.

My main blog is EHR Workflow Management Systems at ChuckWebster.com. Some posts are 5000 words or more! Here is for larger than a tweet, but smaller than a novella.

MModal.com on Language & Workflow 4: The Language and Workflow Platform

4. I'm a visual kinda guy, at a high level, what does your language and workflow platform look like?

mmodal-fluency-400 Thanks. Let's unwind the workflow from the moment a physician says something to the moment it helps someone.

  • Real-Time Speech Recognition
  • Cloud
  • Automated transcription
  • Human post-editing?
  • Cloud
  • Natural language processing
  • Cloud
  • (Then, in parallel, no particular order)
    • Insert data into EHR
    • Submit codes to billing
    • Distribute management reports
    • Analyze data to improve effectiveness and efficiency

Speech Understanding, the small cloud on the upper right, is sort of a label for the entire cloud, including speech recognition, natural language understanding, and workflow orchestration, right?

How did I do?

"Very well!! And as I said in my previous comment, Speech Understanding represents a tight integration of various technologies, using them in a non-linear way."

MModal.com is even diplomatic! That requires remarkable discourse processing technology.

Question 5 (What does M*Modal NLP pipeline look like?) and MModal.com's answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

Feel free to read the previous questions I asked of the new MModal.com website.

 

 

 

 

 

 

 

 

 

MModal.com on Language & Workflow 3: Efficiency and User Experience

3. I'm especially interested in how workflow technology, combined with language technology, can improve efficiency and user experience. Could you expand a bit on those themes?

("Certainly" I faintly hear.)

"By extracting, aggregating, analyzing and presenting clinical information based on business intelligence, M*Modal imaging solutions make sure that the right information is available at the right time for game-changing workflow management. Based on semantic understanding, M*Modal technology dynamically reacts to what is said and what is known from priors to automatically initiate a unique, information-driven, situationally-appropriate workflow. This content-based, real-time, corrective and pre-emptive physician feedback and decision support not only enhance efficiency and user experience, but also support downstream processes like compliance, coding and quality reporting."

Wow! Now this is a lot more technical! However, I wrote a paper a couple years about about using event processing and workflow engines to improve "EHR Productivity." Let me go back and reread that…. OK…. yes, I do think we are speaking of similar ideas. I wrote about use of structured EHR data to trigger EHR workflows, not unstructured free text, but similar idea. Let me tease this apart.

  • Speech recognition turns sounds into free text.
  • Natural language processing turns free text into structured data.
  • Semantic understanding figures out what is means and which workflows to trigger.
  • So, based on what the physician says, within moments after it's said, asking for clarification if necessary, tasks are automatically queued, executed, tracked, etc.
Am I right?

And then the strangest thing happened. The MModal.com webpage refreshed and the following text appeared:

"In principle you’re right, except that this is not a sequential process where one technology works on the output of the previous one. Instead, we have tightly integrated speech recognition, natural language processing and semantic understanding in a way that they complement each other. For example, speech recognition accuracy is improved by leveraging some of the semantic understanding that would indicate that a physician is talking about patient problems, rather than patient medications. When you adequately combine all the technologies mentioned above, you get more out of it than just the sum of their individual capabilities."

MModal.com has some seriously wicked tech to pull that off! Both natural language processing *and* natural language understanding, not to mention remote extrasensory perception!

Question 4 (What does the language and workflow platform look like?) and MModal.com's answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

MModal.com on Language & Workflow 1: What Are You Trying To Solve?

1. MModal.com, in a nutshell, in words people who aren't rocket scientists or computational linguists can understand, what problem are you trying to solve?

"Physicians are natural storytellers. They prefer to document the complete patient story by simply speaking and naturally capturing the full narrative. With Electronic Health Records (EHR) it’s not that simple. Clinicians have to change their behavior and use point-and-click into various templates that just can’t tell the whole story. Using EHRs, collaboration remains difficult, prone to errors and incomplete. Speech-based narrative documentation is workflow-friendly and permits the whole story to be told, and easily and more completely passed along, creating a much more collaborative sharing of intelligence from doctor to doctor."

Nicely put! EHR usability is a big issue these days. "Clickorrhea" does seem part of the problem. Got it.

Question 2 (What's the connection between language and workflow?) and MModal.com's answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

Feel free to read the previous questions I asked of the new MModal.com website.

 

  • MModal.com on Language & Workflow: Introduction to the Interview Series
  • MModal.com on Language & Workflow 1: What Are You Trying To Solve?
  • MModal.com on Language & Workflow 2: Language and Workflow Connection
  • MModal.com on Language & Workflow 3: Efficiency and User Experience
  • MModal.com on Language & Workflow 4: The Language and Workflow Platform
  • MModal.com on Language & Workflow 5: What's Your Language Workflow Like?
  • MModal.com on Language & Workflow 6: Do You Use Workflow Engines?
  • MModal.com on Language & Workflow 7: How Important are Context and Pragmatics?
  • MModal.com on Language & Workflow 8: Context and Pragmatics Are That Important?
  • MModal.com on Language & Workflow 9: How Can Developers Leverage M*Modal Technology?

 

 

 

 

 

MModal.com on Language & Workflow: Introduction to the Interview Series

I'm going to try something a little different this week. I'll talk to a website! I usually submit geeky questions about workflow or language technology to an industry expert, then top it off with a One-Minute Interview (on YouTube) embedded in the resulting blog post.

I recently interviewed M*Modal’s Chief Scientist Juergen Fritsch, Ph.D. Like any good interview, it left me wanting more. As smart as Juergen is, using a whole-is-greater-than-the-parts logic, M*Modal must be even smarter than he is. But I can't interview 12,000 people. So I decided to have a conversation with MModal.com, M*Modal's new website.


Live Thumbnail

By the way, I'm aware and concerned about walking the fine line between education and marketing (and have written about it). I am not endorsing any M*Modal product or service. However, I've written hundreds of thousands of words (and 15,000 tweets!) about workflow tech in healthcare. I look for confirmation wherever I can find it. :) I certainly endorse combination of workflow technology and language technology to help make EHRs and health IT systems more usable and useful. M*Modal is a leader in this area and I appreciate their cooperation to increase public understanding of both workflow tech and language tech opportunities.

My interviews? They're more like conversations in which I talk almost as much the person (or, in this case, website) I'm talking to. I'll mention earlier blog posts, quote from Wikipedia, even textbooks.  I eventually do get to the point. I don't think my interviewees mind. I'm not like Larry King, who reputedly never read the books before he interviewed their authors ("So, what's your book about?") I'm more like Charlie Lamb on CSPAN ("On page 582 you write, [Charlie reads a couple paragraphs]. What did you mean by that?")

So, MModal.com, thank you for agreeing to this interview. Silence. Hmm.

I searched MModal.com for "workflow". I got 165 hits. I looked at each instance and context. Using the most interesting material I created 10 "answers." Then I wrote the questions. Their answers follow as ten mini-blog posts separately tweeted from @EHRworkflow.

Let's try again…

Question 1 (What problem is M*Modal trying to solve?) and MModal.com's answer will be published very soon.

Follow @EHRworkflow to be sure not to miss it.

 

  • MModal.com on Language & Workflow: Introduction to the Interview Series
  • MModal.com on Language & Workflow 1: What Are You Trying To Solve?
  • MModal.com on Language & Workflow 2: Language and Workflow Connection
  • MModal.com on Language & Workflow 3: Efficiency and User Experience
  • MModal.com on Language & Workflow 4: The Language and Workflow Platform
  • MModal.com on Language & Workflow 5: What's Your Language Workflow Like?
  • MModal.com on Language & Workflow 6: Do You Use Workflow Engines?
  • MModal.com on Language & Workflow 7: How Important are Context and Pragmatics?
  • MModal.com on Language & Workflow 8: Context and Pragmatics Are That Important?
  • MModal.com on Language & Workflow 9: How Can Developers Leverage M*Modal Technology?

 

 

 

 

 

 

 

 

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